Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KALLI R GLASS DO
NPI 1124715321
Family Medicine in Gonzales, TX

Q: What is Kalli Glass's NPI number?

The NPI number for Kalli Glass is 1124715321. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Kalli Davis.

Q: What is Kalli Glass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kalli Glass was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2023PECOS Enrolled

1110 N SARAH DEWITT DR, GONZALES, TX 78629(830) 672-8502(830) 541-5557 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Kalli R Glass Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLI R GLASS DO (NPI 1124715321) is an individual family medicine provider in Gonzales, Texas, licensed in Texas (W5348) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1124715321

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKALLI R GLASSCredential: DO

Location Address1110 N SARAH DEWITT DRGonzales, TX 78629-3311

Mailing Address1110 N Sarah Dewitt DrGonzales, TX 78629-3311 · (830) 672-8502 · Fax (830) 541-5557

Phone(830) 672-8502

Fax(830) 541-5557

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 19, 2023

Last NPPES UpdateSeptember 25, 2026

NPPES CertifiedSeptember 25, 2026

✔ NPI 1124715321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · W5348

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1110 N SARAH DEWITT DR, Gonzales, TX 78629

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Other Names 1

Former Name (1)Kalli Davis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalli R Glass Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991151953

PECOS Enrollment IDI20260522003389

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GONZALES HEALTHCARE SYSTEMS

Clinic/Center (Rural Health)